2-(p-(n&#39;-cycloalkyl-carbamido-n-sulfonyl)-phenethyl)-1,2,3,4-tetrahydro-1,3-dioxo-4,4-dimethyl-isoquinolines and alkali metal salts thereof

ABSTRACT

2-(P-(N&#39;&#39;-CYCLOALKYL - CARBAMIDO - N - SULFONYL) - PHENETHYL)-1,2,3,4,-TETRAHYDRO - 1,3 - DIOX - 4,4 - DIMETHYL-ISOQUINOLINES OF THE FORMULA   2-((4-(R2-NH-CO-NH-SO2-)PHENYL)-CH2-CH2-),4,4-DI(CH3),   7-R1-1,2,3,4-TETRAHYDROISOQUINOLINE-1,3-DIONE   WHEREIN R1 IS HYDROGEN, CHLORINE, BROMINE OR ALKOXYL OF 1 TO 4 CARBON ATOMS, AND R2 IS CYCLOHEXYL OR ADAMANTYL-(1) AND ALKALI METAL SALTS THEREOF, USEFUL AS HYPOGLYCEMICS IN WARM-BLOODED ANIMALS.

United States Patent US. Cl. 260281 7 Claims ABSTRACT OF THE DISCLOSURE 2-[p-(N-cycloalkyl carbamido N sulfonyl) phenethyl]-1,2,3,4-tetrahydro 1,3 dioxo 4,4 dimethyl-isoquinolines of the formula R is hydrogen, chlorine, bromine or alkoxy of 1 to 4 carbon atoms, and R is cyclohexyl or adamantyl-( 1 and alkali metal salts thereof, useful as hypoglycemics in warm-blooded animals.

This invention relates to novel 2- [p-(N-cycloalkylcarbamido-N-sulfonyl)-phenethyl] 1,2,3,4 tetrahdro 1,3- dioxo-4,4-dimethyl-isoquinolines and alkali metal salts thereof, and to a method of preparing these compounds.

More particularly, the present invention relates to novel compounds of the formula H3O CH:

o O R N-Cm-CmQ-SOZ-HN-ti-NH-R, Y

wherein R is hydrogen, chlorine, bromine or alkoxy of 1 to 4 carbon atoms, and R is cyclohexyl or adamantyl-( 1),

and alkali metal salts thereof.

The compounds of the present invention are prepared by reacting a sulfonamide of the formula HaC CH3 wherein R has the same meanings as in Formula I, or an alkali metal salt thereof, with an isocyanate of the formula wherein R has the same meanings as in Formula I.

More specifically, the reaction is preferably carried out by first dissolving a sulfonamide of the Formula II in an inert organic solvent, preferably in a dipolar aprotic solvent such as dimethylformamide, acetone or N-methylpyrrolidone; then converting the dissolved sulfonamide into an alkali metal salt thereof by adding to the solution a strong anhydrous base, for example, an alkali metal hydride, an alkali metal hydroxide or an alkali metal alcoholate, such as potassium tert.-butylate; subsequently, while cooling, adding to the sulfonamide salt solution an isocyanate of the Formula III; allowing the reaction to go to completion at a temperature ranging from relatively low to moderately elevated temperatures, but preferably between 5 C. and room temperature; and isolating the reaction product of the Formula I from the reaction mixture by conventional procedures.

If desired, a compound of the Formula I obtained in this way may be converted into an alkali metal salt thereor by treating a solution of compound I in an inert solvent with an alkali metal ethylate.

The sulfonamide starting compounds of the Formula II are also new; those wherein R is hydrogen, chlorine or bromine are prepared by the subjecting a benzenesulfonamide of the formula wherein R is hydrogen or acetyl, to a condensation reaction with homophthalic acid, with a homophthalic acid derivative comprising activated carboxyl functions, or with a 4-halohomophthalic acid, and then methylating the condensation product with a methyl halide in the presence of a strong base, such as sodium hydroxide or sodium ethylate. The condensation reaction may be carried out by heating a mixture of the reactants to the melting point, or also by heating a solution of the reactants in an inert organic solvent to a temperature between and 200 C.

On the other hand, a sulfonamide of the Formula II, wherein R is alkoxy of 1 to 4 carbon atoms, is prepared by subjecting 4-aminosulfonylphenyl-(2) -ethylamine of the to a condensation-reaction with a 1,2,3,4-tetrahydro-4,4- dimethyl-7-alkoxy-isochromane-dione-(1,3) of the formula (III) wherein R is alkoxy of 1 to 4 carbon atoms, in the presence of an inert organic solvent, such as xylene, and at the boiling point of the solvent in an apparatus provided with a water separator.

An isochromane derivative of the Formula VI is, in turn, prepared by alkylation of 1,2,3 ,4-tetrahydro-2,4,4-trimethy1-7-hydroxy-isoquinoline dione (1,3 of the formula dione-(1,3) were dissolved in 700 ml. of dimethylformamide, 9.1 gm. of potassium tert.-butylate were added to CH3 the solution, and, while cooling the mixture with ice, 14.9

gm. of cyclohexyl isocyanate were added dropwise thereto. Subsequently, the reaction mixture was stirred [for hours H0 N-CH: on an ice bath and was then allowed to stand overnight at 2 C. Thereafter, the reaction solution was admixed with l (VII) water, the precipitate formed thereby was separated by vacuum-filtration, the filtrate was admixed with more heating the alkylation product with aqueous o um ywater, and the aqueous solution was acidified with 2 N hydYOXidfi under reflux, and ifying the reaction 50111- drochloric acid. A greasy substance precipitated out which ti011- crystallized after a brief period of contact with boiling The 1,2, y -2 y 7 y xyisomethanol. 2.6 gm. (85% of theory) of 1,2,3,4-tetrahydroquinoline-dione-(l,3) 0f the Formula VII iS itself Plfi- 2- [p-(N- ;yc]ohexyl-ureido-N-sulfonyl)-phenethy1] 4,4- Pared y nitfating 2, y yl 1 dimethyl-7-methoxy-isoquinolinedione (1,3), M.P. 180-- quinoline-dione-(1,3), catalytic reduction of the nitro 182 C., of the formula H3O CH3 /W 0 H30 0 N-CmtMQ-S 0211N-ii-NH group, diazotization and hydrolysis of the diazonium comwere obtained. pound under reflux. (c) 10.5 gm. of 1,2,3,4-tetrahydro-2-[p-(N'-cyclohexyl- The isocyanates of the Formula III are described in ureido-N-sulrfonyl)-phenethyl]-4,4-dimethyl-7 methoxythe literature and may, for example, be prepared from the isoquinoline-dione-( 1,3) were dissolved in 500 ml. of acecorresponding amines and phosgene. tone, the solution was cooled to between 5 and 0 C., The following examples further illustrate the present and a solution of the stiochiometric amount of sodium invention and will enable others skilled in the art to underethylate in 20 ml. of ethanol was slowly added dropwise.

stand it more completely. It should be understood, how- 10.1 gm. (91% of theory) of the sodium salt of 1,2,3,4- ever, that the invention is not limited solely to the partetrahydro-Z-[p-(N'-cyclohexyl-ureido N sulfonyl)- ticular examples given below. phenethyl]-4,4-dimethyl-7-methoxy-isoquinoline dione- (l,3) were obtained as a colorless crystalline substance EXAMPLE 1 which sintered beginning at 160 C. Preparation of 2-[p-(N'-cyclohexyl-carbamido N sulfonyl)phenethyl]-1,2,3,4-tetrahydro-4,4 dimethyl 7- EXAMPLE 2 methoxylsoqumolme'dlone'(13) Using a procedure analogous to that described in Ex- (a) A mixture consisting of 4 gm. of 1,2,3,4-tetrahy ample 1(b), l,2,3,4-tetra.hydro-2-[p-(N-adamantyl (1)- dro-4,4-dimethyl-7-methoxy-isochromane dione (1,3) ureido-N-sulfonyl)-phenethyl]-4,4-dimethyl-7 methoxy- (M.P. 95-97 C.), 2.53 gm. of 4aminosulfonyl-phenylisoquinoline-dione-(1,3) of the formula HaC CH3 HaCO (2)-ethylamine and 150 ml. of xylene was heated for two was prepared [from 1,2,3,4-tetrahydro-2-[p-(amino sulhours at its boiling point in an apparatus provided with a fonyl)-phenethyl] -4,4-dimethyl-7-methoxy isoquinolinewater separator. Thereafter, the reaction mixture was aldione-(1,3) and adamantyl-(l)-isocyanate. Its sodium salt lowed to cool and was then vacuum-filtered, and the filter had a melting point of 235238 C.

cake was recrystallized from n-propanol in the presence of activated charcoal. 2.9 gm. (58% of theory) of l,2,3,4- 60 EXAMPLE 3 tetrahydro-4,4-dimethyl-2-[p aminosulfonylphenyl (2)- Using a procedure analogous to that described in Exethyl]7-methoxy-isoquinolinedione-(1,3), M.P. 203-205 ample 1(b), l,2,3,4 tetrahydro-2 [p (N cyclohexyl- C., of the formula ureidoN-sulfonyl)phenethyl]4,4-dimethyl 7 ethoxyisoquinoline-dione-(l,3), M.P. 90 C., of the formula H30 011;, H30

fi=o 0 H300 N-CH -CHQ-SOz-NH; HECIO N-CHZ-CHZ-Q-S oz-HN- -NH Was prepared from 1,2,3,4 tetrahydro 2 [p-(aminowere obtained. sulfonyl)-phenethyl] 4,4 dimethyl 7 ethoxy iso- (b) 32.2 gm. of l,2,3,4-tetrahydro-4,4-dimethyl-2 [pquinoline dione (1,3), M.P. 149 C., and cyclohexylaminosulfonylphenyl-(2)-ethyl] 7-methoxy isoquinoline- 7 5 isocyanate. Its sodium salt had a melting point of C.

The 1,2,3,4 tetrahydro 2 [p (amino-sulfonyl)- phenethyl] 4,4 dimethyl 7 ethoxy isoquinoline- H3C(CH2)3O dione-(1,3) of the formula H30 CH3 =0 N-CHz-CH SOzNI-I2 V Q was itself prepared from 1,2,3,4 tetrahydro 4,4dimethyl 7 ethoxy isochromane dione (1,3) and paminosulfonyl phenethylamine analogous to Example 1(a).

EXAMPLE 4 Using a procedure analogous to that described in Example 1(b), 1,2,3,4 tetrahydro 2 [p-(N'-adamantyl- (1) ureido N sulfonyl) phenethyl] 4,4 dimethyl- 7 ethoxy isoquinoline dione (1,3), M.P. 107 C., was prepared from 1,2,3,4 tetrahydro 2 [p-(aminosulfonyl) phenethyl] 4,4 dimethyl 7 ethoxy-isoquinoline dione (1,3) and adamantyl 1) isocyanate. Its sodium salt had a melting point of 225 C.

EXAMPLE 5 Using a procedure analogous to that described in Example 1(b), 1,2,3,4 tetrahydro 2 [p (N'-cyclohexyl ureido N sulfonyl) phenethyl]-4,4-dimethyl-7- isopropoxy-isoquinoline-dione-(1,3), M.P. 124 C., of the formula 4 (CHmHCO was prepared from 1,2,3,4 tetrahydro 2 [p-(aminosulfonyl) phenethyl] 4,4 dimethyl 7 isopropoxyisoquinoline dione (1,3), M.P. 154 C., and cyclohexyl-isocyanate. Its sodium salt had a melting point of 183 C.

The 1,2,3,4 tetrahydro 2 [p (aJnino-sulfonyD- 5 phenethyl] 4,4 dimethyl 7 isopropoxy isoquinolinedione (1,3) of the formula HaC H3 was itself prepared from 1,2,3,4 tetrahydro 4,4 dimethyl 7 isopropoxy isochromane dione-(1,3) and p-(amino-sulfonyl)-phenethylamine analogous to Example 1(a).

EXAMPLE 6 Using a procedure analogous to that described in Example 1(b), 1,2,3,4 tetrahydro 2 [p-(N-cyclohexylureido N sulfonyl) phenethyl] 4,4 dimethyl-7-n- 6 butoxy-isoquinoline dione (1,3), M.P. C., of the formula CHa NCH2CH2S 02-NH2 Y was itself prepared from 1,2,3,4 tetrahydro 4,4 dimethyl 7 n butoxy isochromane dione (1,3) and p (amino sulfonyl) phenethylamine analogous to Example 1(a).

EXAMPLE 7 Preparation of 1,2,3,4 tetrahydro 2 [p (N'-cyclohexyl ureido N sulfonyl)-phenethyl]-4,41dimethylisoquinoline-dione- 1,3)

(21) A mixture consisting of 26.7 gm. of 1,2,3,4-tetrahydro 2 [p (amino sulfonyl) phenethyl] isoquinoline dione (1,3), M.P. 246 C., 170 ml. of ethanol, 30 ml. of water and 22 gm. of methyl iodide was heated to its boiling point and simultaneously a solution of millimols of sodium ethylate in 70 ml. of ethanol was added dropwise thereto. After all of the sodium ethylate solution had been added, the reaction mixture was boiled for 2 to 4 hours more. Thereafter, the solvent medium was distilled off, the residue was admixed with ice water, and the insoluble raw product was collected and recrystallized from chlorobenzene. 22.7 gm. (78.5% of theory) of 1,2,3,4 tetrahydro 4,4 dimethyl 2 [p- (amino sulfonyl) phenethyl] isoquinoline dione- (1,3), M.P. 213-214 C., of the formula H3O CH3 N-CHz-CHi were obtained.

(b) 5 gm. of 1,2,3,4-tetrahydro-4,4-dimethyl-2-[p-(amino-sulfonyl)-phenethyl]-isoquinoline-dione (1,3) were dissolved in 28 ml. of dimethylformamide and converted into the sodium salt with a 50% oil suspension of 0.64 gm. of sodium hydride. After everything had gone into solution, 1.83 gm. of cyclohexyl-isocyanate were added at 5 5 C., and the mixture was stirred for 1 to 2 hours at room 8 temperature to allow the reaction to go to completion. The 1,2,3,4-tetrahydro 2 [p-amino-sulfonyD-phen- Thereafter, the reaction mixture was admixed with 100 ethyl]-4,4-dimethyl-7-chloro-isoquinoline-dione- (1,3), of ml. of water, and the resulting aqueous solution was acidithe fOfmllla fied with glacial acetic acid. The precipitate formed there- HsC CHs by was collected and recrystallized from methanol, yielding 2.6 gm. (39.1% of theory) of 1,2,3,4-tetrahydro-2-[p- (N' yclohexyl-ureido-N-sulfonyl) phenethyl] 4,4 di- 01 methyl-isoquinoline-dione-(1,3), M.P. 179-181 c., of the y formula d H30 CH3 Y l i NCHlCH2-SOzHNCNH@ Y 0 Its sodium salt began to decompose at 205 C. was itself prepared from 1,2,3,4-tetrahydro-2- [p-(aminosulfonyl) phenethyl] isoquinoline-dione (1,3), M.P. EXAMPLE 8 252 C., and methyl iodide analogous to Example 7(a). Using a procedure analogous to that described in Exam- EXAMPLE 10 ple 7(b), 1,2,3,4 tetrahydro 2 [p-(N'-adamantyl-(l)- ureido-N-sulfonyl)-phenethyl] 4,4 dimethyl 7 bro- Using a procedure analogous to that described in Exmo-isoquinoline-dione (1,3), M.P. 119 C. (from methaample 7(b), 1,2,3,4-tetrahydro-2- [p-(N-adamantyl)-(1)- nol), of the formula ureido-N-sulfonyl)-phenethyl] 4,4 dimethyl-isoquino- H CH3 H: 0 /C\ Br N-CHzCHz-S0gNH lNHC\ on CH2 CH2 Hz IE2 H2 0 H was prepared from 1,2,3,4-tetrahydro-2-[p-(amino-sulline-dione-(l,3), M.P. 199 C. (from methanol), was prefonyl)-phenethyl]-4,4 dimethyl 7 bromo-isoquinolinepared from l,2,3,4-tetrahydro 2 [p-(amino-sulfonyl)- dime-(1,3), M.P. 186 C., and adamantyl-(1)-isocyanate. phenethyl] 4,4 dimethyl-isoquinoline-dione-( 1,3) and The yield was 14.4% of theory. Its sodium salt had a meltadamantyl-( 1 )-isocyanate. The yield was 10.4% of theory.

ing point of 226 c. (decomp.). Its sodium salt had a melting point of 232-23? 0.

The 1,2,3,4-tetrahydro 2 [p-(amino-sulfonyl)-phen- (decomp).

ethyl] 4,4-dimethyl-7-bromo-isoquinoline-dione-(1,3) of EXAMPLE 11 the formula Using a procedure analogous to that described in Ex- HaOVCIh ample 7(b), 1,2,3,4-tetrahydro-2-[p-(N'-adamantyl-(1)- ureido-N-sulfonyl)-phenethyl] 4,4 dimethyl 7 chloroisoquinoline-dione-(1,3 M.P. 184 C. (from ethanol), CH 8 o NH was prepared from 1,2,3,4-tetrahydro-2-[p-(amino-sul- 2 Q a. a fonyl)-phenethyl]-4,4 dimethyl 7 chloro-isoquinolinedione-(1,3) and adamantyl-(l)-isocyanate. The yield was 0 10% of theory. was itself prepared from 1,2,3,4-tetrahydro-2-[p-(amino- EXAMPLE 12 sulfonyl)-phenethyl]-isoquinoline-dione- 1,3 M.P. 23 8 C and methyl iodide analogous to Example 7 Using a procedure analogous to that described in Example 7(b), 1,2,3,4-tetrahydro-2-[p-(N-cyclohexyl-ureido- EXAMPLE 9 N-sulfonyl)-phenethyl] 4,4 dimethyl 7 bromo-iso- Using a procedure analogous to that described in Exq -(L (from ethanol), Was

ample 7(b), 1,2,3,4 tetrahydro 2 [p-(N'-cyclohexylp p from y -[p-( osu1 y1)- u id -N- lf n l)-pheneth 1]-4,4-dimethy1- 7-ch1 -isophenethyl] 4,4 dimethyl 7 bromo-isoquinoline-dionequinolinedione-(1,3), M.P. 177 C. (from methanol), of (1,3) and cyclohexyl-isocyanate. The yield was 50% of the formula theory.

was prepared from 1,2,3,4-tetrahydro-2-[p-(amino-sul- The compounds according to the present invention, fonyl)-phenethyl]-4,4-dimethyl 7 chloro-isoquinolinethat is, the free acids embraced by Formula I above and dime-(1,3), M.P. 193 C., and cyclohexyl-isocyanate. their alkali metal salts, have useful pharmacodynamic The yield was 40% of theory. properties. More particularly, they exhibit very elfective hypoglycemic activities at low dosage levels and low toxicity in warm-blooded animals, as evidenced by the following pharmacological test results.

The following compounds of the instant invention were tested for hypoglycemic activity and acute toxicity:

(A) l,2,3,4-tetrahydro-2- [p- (N'-cyclohexyl-ureido-N- sulfonyl -phenethyl] -4,4-dimethyl-isoquinolinedione- 1,3

(B) 1,2,3 ,4-tetrahydro-2- [p- (N'-cyclohexyl-ureido-N- sulfonyl -phenethyl] -4,4-dimethyl-7-chloro-isoquinoline-dione-( 1,3

(C) 1,2,3,4-tetrahydro-2- [p- (N'-cyclohexyl-ureido-N- sulfonyl -phenethyl]-4,4-dimethyl-7-methoxyisoquinoline-dione- 1,3

(D) 1,2,3,4-tetrahydro-2- [p- (N'-adamantyll )-ureido- N-sulfonyl -phenethyl] 4,4-dimethyl-isoquinolinedione-(1,3);

(E) 1,2,3 ,4-tetrahydro-2-[p-(N'-adamantyl-(1)-ureido- N-sulfonyl) -phenethyl] -4,4-dimethyl-7-chloroisoquinolinedione-( 1,3

(F) 1,2,3 ,4-tetrahydro-2- [p- (N-adamantyl- (1 )-ureido- N-sulfonyl -phenethyl] -4,4dimethyl-7-bromoisoquinoline-dione- 1,3 and (G) 1,2,3,4-tetrahydro-2- (p- (N'-cyclohexyl-ureido-N- sulfonyl -phenethyl] 4,4-dimethyl-7-methoxyisoquinoline-dione- 1,3

(1) Hypoglycemic activity: The minimum effective hypoglycemic peroral dose of the compounds and the hypoglycemic elfect produced thereby over the normal blood sugar content (in mgm. percent) were determined on adult male laboratory rats having an average body weight of 180 gm.; the test animals received a normal diet. Each compound under investigation, in the form of its sodium salt, was suspended in aqueous methyl cellulose, the suspension was administered to the test animals perorally by means of an esophageal sound, and a blood sample of 20 microliters was taken from the tail at hourly intervals. Each compound was tested at varying dosage levels on a statistically significant number of animals.

The glucose content of each blood sample was determined by means of an automatic Technicon-Auto Analyzer [see U. Harding and G. Heinzel, Zeitshrift for Klinische Chemie und Klinische Biochemie 7, No. 6 (1969)] according to the hexokinase method, i.e. phosphorylation of the glucose with ATP (adenosine triphosphate) into glucose-fi-phosphate, followed by reduction with glucose-6-phosphate dehydrogenase into gluconate- 6-phosphate, and photometrically measuring at 334 nm. the amount of NADPH simultaneously formed from NADP (nicotinamide-adenine dinucleotide phosphate). The following table shows the results obtained.

TABLE I Minimum Reduction of efiective blood sugar hypoglycemic content over dose, normal, mgm. mgm./kg., p.o. percent on 10 animals per dose. For this purpose, the calculated amount of each of the sodium salts was dissolved in 0.01 N sodium hydroxide, and then 0.2 ml./l0 gm. body weight of the solution was injected into the tail vein of the animal within 30 seconds. The animals were observed for seven days, and the number of animals which died during that period was recorded. From this raw data, the median intravenous lethal dose (LD i.v.), i.e. the dose which causes death in 50% of the animals within 7 days, was calculated by the standard statistical method according to Behrens-Karber.

(b) The median peroral lethal dose (LD p.o.) was determined and calculated in analogous manner for the sodium salts of compounds A-G and for the free acid form of compounds A, C, D, F and G. For this purpose, each of the respective compounds was first milled to a particle size of 10 the milled substance was homogeneously suspended in aqueous 1% methyl cellulose, and 2 ml./25 gm. body weight of the suspension comprising the dose to be tested were administered by means of an esophageal sound. The following table shows the results obtained:

TABLE II Acute toxicity of the- Sodium salts Free acids, LDw p.o., LDso i.v LD p.o., Compound gmJkg. mgm./kg gin/kg.

For pharmaceutical purposes the compounds according to the present invention are administered to warm-blooded animals, preferably perorally, as active ingredients in customary dosage unit compositions, that is, compositions in dosage unit form consisting essentially of an inert pharmaceutical carrier and one eflective dosage unit of I Tablets The tablet composition was compounded from the following ingredients:

Parts 1,2,3,4-tetrahydro 2 [p-(N'-cyclohexyl-ureido-N- sulfonyl) phenethyl]-4,4-dimethyl-7-methoxyisoquinoline-dione-(1,3) 2.5 Lactose 87.5 Corn starch 26.0 P'olyvinylpyrrolidone 3.0 Magnesium stearate 1.0

Total 120.0

Compounding procedure: The tetrahydro-isoquinolinedione compound was intimately admixed with the lactose and the corn starch, the mixture was uniformly moistened with an ethanolic- 12.5% solution of the polyvinylpyrrolidone, the moist mass was forced through a 1.5 mm.-mesh screen, the resulting granulate was dried at 45 C. and again passed through a 1.0 mm.-mesh screen, the dry granulate was admixed with the magnesium stearate, and the composition was compressed into 120 mgm.-tablets. Each tablet contained 2.5 mgm. of the tetrahydro-isoquinoline-dione compound and, when administered perorally to a warm-blooded animal of about 60 kg. body weight in need of such treatment, produced very good hypoglycemic effects.

EXAMPLE 14 Gelatin capsules The capsule filler composition was compounded from the following ingredients:

Parts 1,2,3,4-tetrahydro 2 [p-(N'-cyclohexyl-ureido- N sulfonyl) phenethyl] 4,4 dimethyl-7- methoxy-isoquinoline-dione-( 1,3 Corn starch, dry 97.5

Total 100.0

Compounding procedure: The ingredients were intimately admixed with each other, the mixture was passed through a 0.75 mm.-mesh screen, and 100 mgm.-portions of the screened composition were filled into individual hard gelatin capsules of suitable size. Each capsule contained 2.5 mgm. of the tetrahydro-isoquinoline-dione compound, and, when administered perorally to a Warmblooded animal of about 60 kg. body weight in need of such treatment, produced very good hypoglycemic effects.

Analogous results were obtained when an equal amount of any other compound of the present invention was substituted for the particular tetrahydro-isoquinolinedione compound in illustrative Examples 13 and 14. Likewise, the amount of active ingredient in these examples may be varied to achieve the dosage unit range set forth above, and the amounts and nature of the inert pharmaceutical carrier ingredients may be varied to meet particular requirements.

While the present invention has been illustrated with the aid of certain specific embodiments thereof, it will be readily apparent to those skilled in the art that the invention is not limited to these embodiments and that various changes and modifications may be made without departing from the spirit of the invention or the scope of the appended claims.

We claim:

1. A compound of the formula 12 wherein R is hydrogen, chlorine, bromine, or alkoxy of 1 to 4 carbon atoms, and R is cyclohexyl or adamantyl-(l), or an alkali metal salt thereof.

2. A compound of the formula R is hydrogen, chlorine, bromine or alkoxy of 1 to 4 carbon atoms, and

R is cyclohexyl or adamantyl-(l), or the sodium salt thereof.

3. A compound according to claim 2, which is 1,2,33,4- tetrahydro-2-[p-(N'-cyclohexyl-ureido N sulfonyl)- phenethyl]-4,4-dimethyl 7 bromo-isoquinoline-dione- (1,3) or the sodium salt thereof.

4. A compound according to claim 2, which is 1,2,3,4- tetrahydro 2 [p-(N-adamantyl (l) ureido-N-sulfonyl)-phenethyl] 4,4 dimeth ylisoquinoline-dione- (1,3) or the sodium salt thereof.

5. A compound according to claim 2, which is 1,2,33,4- tetrahydro-Z-[p-(N-adamantyl (1) ureido N sulfonyl)-phenethyl]-4,4-dimethyl 7 bromo-isoquinolinedione-(l,3) or the sodium salt thereof.

6. A compound according to claim 2, which is 1,2,3,4- tetrahydro 2 [p-(N-cyclohexyl-ureido-N-sulfonyl)- phenethyl]-4,4-dimethyl 7 methoxy-isoquinoline-dione- (1,3) or the sodium salt thereof.

7. A compound according to claim 2, which is 1,2,3,4- tetrahydro 2 [p-(N-adamantyl-(1)-ureido N sulfonyl)-phenethyl]-4,4-dimethyl 7 chloro-isoquinolinedime-(1,3) or the sodium salt thereof.

References Cited UNITED STATES PATENTS DONALD G. DAUS, Primary Examiner U.S. Cl. X.R. 260453; 424258 

